| NPI | 1124117452 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine Nephrology (Licence: CA 20A8543) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA 20A8543) |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2022-03-07 |